Samantha Elizabeth Dimisa, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

020282-01 Issued in NY

Practice address

150 Park Row
New York
New York, NY 10007-1704

Phone

(646) 836-6335

Fax

(646) 836-7712

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MCC-Ny

  • Prison Health Clinic/Center
  • Nyc, NY
  • NPI 1275808669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1558801431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BARROW ST",
            "address_2": "APT. 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143740",
            "telephone_number": "516-652-4477",
            "fax_number": "646-836-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK ROW",
            "address_2": "NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071704",
            "telephone_number": "646-836-6335",
            "fax_number": "646-836-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMISA",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "020282-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Dimicelli, DENTAL HYGIENIST
• Alexandra B Dimich, MD
• Ivan G Dimich, M.D.
• Donna Dimichele, MD
• Mary Jo Dimilia, M.D.
• Elisabeth Dimitratos, PA
• Diana Maria Dimitri, PH.D.
• Nadya E Dimitrov, DPM
• Kamellia Rangelova Dimitrova, M.D.
• Maya Dimitrova

• Forensic Psychologist in New York, NY
• Providers in New York, NY by specialty
• Forensic Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.